Page:Carnegie Flexner Report.djvu/160

142 is expensive to teach. It can in no event be taught out of fees. Reputable institutions with no other outlook should combine with better favored schools or stop outright. Legal enactment should terminate the career of the others. Abundant benefaction should strengthen up to our need the relatively small number of schools required o deal effectively with the subject. No greater error can be made than to suppose that endowment and university ideals are necessary only to medical schools with high entrance standards. Vanderbilt and Tulane, trying to make intelligent physicians out of high school boys in the south, need the same means and ideals as Harvard and Johns Hopkins, working with college material in another section. Indeed, the more defective the material or the more unfavorable the environment, the greater must be the resources and the higher must be the purposes of those who have undertaken to look after this vital social function.